Individual
CODY HAMPTON HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NP-C
Contact information
Practice address
908 ROCKMOOR DR, GEORGETOWN, TX 78628-8966
(512) 868-0901
(512) 868-1527
Mailing address
908 ROCKMOOR DR, GEORGETOWN, TX 78628-8966
(512) 868-0901
(512) 868-1527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1057768
TX
363LP2300X
Primary Care Nurse Practitioner
1057768
TX
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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